Individual
DR. RAYMOND H ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
Mailing address
PO BOX 5009, SIOUX FALLS, SD 57117-5009
(605) 977-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1565
SD
207RI0011X
Interventional Cardiology Physician
Primary
1565
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000537
SD BCBS
SD
05
—
0931972
—
IA
01
—
120334
UCARE
MN
01
—
1565
DAKOTACARE
SD
01
—
1M495AL
MN BCBS - PLAN 91057NO
MN
01
—
24680
HEALTH PARTNERS
—
01
—
538R7AL
MN BCBS - PLAN 538R2NO
MN
01
—
53984
IA BCBS
IA
05
—
6001940
—
SD
05
—
925590700
—
MN
01
—
931451029027
PREFERRED ONE
SD
Enumeration date
10/10/2005
Last updated
12/20/2022
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